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Organization

ST. FRANCIS MEDICAL CENTER - CCC

Active
Other names
St. Francis Medical Center Child Counseling Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GERALD KOZAI (PRESIDENT/CEO)
(310) 900-7301
Entity
Organization

Contact information

Practice address
4390 TWEEDY BLVD, SOUTH GATE, CA 90280-6237
(310) 609-6949
(323) 583-6879
Mailing address
3630 E IMPERIAL HWY, LYNWOOD, CA 90262-2609
(310) 900-8490
(310) 632-6732

Taxonomy

Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
93000157
CA

Other

Enumeration date
03/21/2007
Last updated
04/11/2013
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